| NPI | 1154697167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 22402.1181) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101232) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 130570) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA-100117) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2021-03-12 |